Individual provider Active NPI

Jeaniesar Brawner Caluag, M.D.

  • Internal Medicine Physician
  • Moss Beach, CA
National Provider Identifier
1720246705
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A108220 Issued in CA
Practice address
31 Julianna Ave
Moss Beach, CA 94038-9648
Phone
(415) 615-2534
NPI assigned
May 27, 2008
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A108220 CA Primary

Addresses

Primary practice location

31 Julianna Ave
Moss Beach, CA 94038-9648

Mailing address

31 Julianna Ave
Moss Beach, CA 94038-9648
Phone (415) 615-2534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000708 CA Practitioner - Internal Medicine 6800937467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Doctors Medical Group, IncGroup PAC ID 5991756777, 8 clinicians

Practice addresses (Care Compare)

1 Shrader St
Suite 640
San Francisco, CA 94117-1018
Phone (415) 752-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108220CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vibra Physicians LLC CurrentSince Nov 6, 2019 Accepting new patients
Jeaniesar Caluag MD Inc. Internal Medicine CurrentSince Sep 13, 2024 Accepting new patients

Locations

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680

8081 Royal Ridge Pkwy
Ste 130
Irving, TX 75063
Phone (844) 870-6689

Interoperability endpoints

  • Direct secure messaging: jeaniesar.caluag@49412312072196.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1720246705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 JULIANNA AVE",
            "city": "MOSS BEACH",
            "state": "CA",
            "postal_code": "940389648",
            "telephone_number": "415-615-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 JULIANNA AVE",
            "city": "MOSS BEACH",
            "state": "CA",
            "postal_code": "940389648",
            "telephone_number": "415-615-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALUAG",
        "first_name": "JEANIESAR",
        "middle_name": "BRAWNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moss Beach, CA

Sources for this page

Verify at the official NPI Registry.